Chapter 7

Question 1

LABORATORY ASSESSMENT

Answer 1

CBC

Question 2

When CBC TEST should be?

Answer 2

INITIAL VISIT ( repeated at 28 - 32 weeks )

Question 3

Why CBC SHOULD DO?

Answer 3

TO DETECT ANEMIA

Question 4

Blood Typing Including the RH factor ( Rhesus Factor )

Question 5

Rhesus Factor is a particulae type of ______ either positive ir negative

Answer 5

ANTIGEN

Question 6

If the mother’s antigen is positive but baby’s is negative there would be a

Answer 6

REJECTION

Question 7

Rejection = spontaneous Abortion

Question 8

BLOOD TYPING ( INCLUDING RH FACTOR ) RHESUS FACTOR

Answer 8

● Indirect Coomb’s Test
● Antibody titers for Rubella and Hepatitis B ( HBsAg )
● HIV SCREENING

Question 9

Rubella

Answer 9

To test for immunity or current infection

Question 10

Test for Hepa B

Answer 10

Because it is Blood born and it can infect the baby

Question 11

If the mother have HIV the baby can infect with it but can be prevented by

Answer 11

HAART ( HIGH ACTIVE ANTI RETRO VIRAL THERAPY ) prevent maternal trasmission of HIV

Question 12

Also check for Plasma Glucose Level

Answer 12

To test if GDM ( Gestational Diabetes Militus )

Question 13

LAB TEST ( AMNIOCENTESIS )

Answer 13

Aspiration of fluid

Question 14

AMNIOCENTESIS

Answer 14

● check the COLOR of the PLACENTA ( should same color of the water )

Question 15

Amniocentesis “COLOR”

Answer 15

Color of WATER

Question 16

Slightly Yellow tinge ( normally clear - pale )

Answer 16

Late in Pregnancy (

Question 17

L/S RATIO :

Answer 17

2:1 for Lung Maturity

Question 18

Lung maturity

Answer 18

Readiness of the fetus in order to go out from the woumb from the outside

Question 19

Phosphatisdyl glycerol ans desaturated phosphatidylcholine

Answer 19

Presence indicate lung maturity

Question 20

Bilirubin determination

Answer 20

For blood INCOMPATIBILITY

Question 21

L

Question 22

Chromosome Analysis

Answer 22

For Karytotyping

Question 23

Chromosome Analysis

Answer 23

For Karyotyping

Question 24

Fetal Fibronectin

Answer 24

Damage to fetal membranes releases the substance; can signal preterm labor

Question 25

Inborn errors of metabolism

Answer 25

Enzymes are present in the Amniotic fluid.

Question 26

Alpha - fetoprotein

Answer 26

Lung Maturity

Question 27

Alpha - fetoprotein

Answer 27

Lung Maturity

Question 28

● assessment of fetal heart rate ● woman in semi-fowler's position ● external fetal heart rate and uterine contraction monitors are attached ● FHR is recorded for W0 minutes.

Answer 28

RYTHM STRIP TESTING

Question 29

Why in semi- fowlers position?

Answer 29

There will be no pressure on abdonimal blood vessel ( abdominal arteries )

Question 30

Why in semi- fowlers position?

Answer 30

There will be no pressure on abdonimal blood vessel ( abdominal arteries )

Question 31

C V S MEAN

Answer 31

Chorionic Villi Sampling

Question 32

● uses a catheter ● Done: 1st Trimester ( 8-10 weeks ) ● Purpose : Detection of Genetic Defects ● Pre : consent, full bladder ● Intra : Monitor Maternal VS. FHR

Answer 32

CVS ( CHORIONIC VILLI SAMPLING )

Question 33

Visualization of the fetus by INSPECTION through a FETOSCOPE

Answer 33

FETOSCOPY

Question 34

Why we do Fetoscopy?

Answer 34

● To confirm the INTACTNESS of the fetus ● To obtain biopsy samples of the fetus ● To perform elemental surgery

Question 35

When we do fetoscopy?

Answer 35

As early as 16 - 17th week

Question 36

to observe FHR, Movement, respirations, position and presentation, fetal death and to determine the sex of the baby

Answer 36

ULTRASONOGRAPHY

Question 37

Ultrasonography can detect:

Answer 37

● a gestational sac as early as 5 - 6 weeks after the LMP. ● Heart activity by the 6 - 7 weeks ● Fetal breathing movement by 10-11 weeks of pregnancy ● Crown to rump measurements can be made to assess fetal age until the fetal head can be visualized clearly.

Question 38

Crown to rumo measurements

Answer 38

Ulo - pwet

Question 39

Microscropic examination to test Glycosuria, pyuria, proteinuria

Answer 39

URINALYSIS

Question 40

Preteinuria > Pre ecclampsia >

Answer 40

HYPERTENSION/ SEIZURE ( VERY DANGEROUS BECAUSE CAN CAUSE CARDIAC ARREST )

Question 41

● more definitve / clear ● Has the potential to replace or complement ultrasound ● most helpful in diagnosing complications like ectopic pregnancy and trophol disease

Answer 41

MRI

Question 42

Ultrasound uses

Answer 42

Soundwaves

Question 43

MRI uses

Answer 43

Magnetic Wave

Question 44

MSAFP MEAN

Answer 44

Maternal Serum ALPHA - FETOPROTEIN